Alexander Mervenne, CAA
NPI 1497447262ActiveIndividual· Anesthesiologist Assistant· Grand Rapids, MI
Anesthesiologist Assistant (CAA) with Porter County Anesthesia Associates PC, practicing in Grand Rapids, Michigan. Medicare paid $8,034 for services to 80 patients in 2024. Lists Northwest Health - Porter as a hospital affiliation.
Overview
| NPI | 1497447262 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAA |
| Sole proprietor | Yes |
| NPI issued | May 22, 2023 |
| Last updated in NPPES | May 22, 2023 |
| Certified by provider | May 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 789789817 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (IN); Practitioner - Anesthesiology Assistant (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 80 across 32 procedure codes |
| Paid by Medicare | $8,034 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Porter County Anesthesia Associates PCValparaiso, IN · 29 clinicians
Hospital affiliation
- Northwest Health - PorterValparaiso, IN
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